Myoma is a benign tumor, and usually
50% of the cases it is asymptomatic, or it
does not result in symptoms
but in the rest, 50% result in some symptoms
which may cause a woman to come to the hospital seeking gynecological
solutions for care.
So some of the symptoms which are common
and for which surgery or treatments are indicated
are menhorrhaga or excessive uterine bleeding
persistent pelvic pain
presence of infertility, even though
infertility is related to only 3% of cases of myoma
sometimes it might be indicated for
and other compression symptoms like pressure on the bladder or the rectum or also
as are common symptoms or other complications.
Not all myomas should be treated
All myomas are not to be managed
only if they cause symptoms or complications
for which a woman comes for gynecological care
Generally surgical treatments are indicated for symptomatic myomas
asymptomatic myomas should be managed expectantly
unless they are very large
so the general indications for myomectomy are
myomasses abnormal uterine bleeding
usually menorhhaga
with persistent pelvic pain
ZXOS? which are associated with infertility and big myomas which are bigger than 14 weeks are also indications for surgery